Broome, Rebecca
Broome, Rebecca is an sole proprietor health care provider with primary practice located at 8010 Grand River Rd Ste 100 , Brighton MI 48114-9303. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Broome, Rebecca can be contacted via phone (810) 207-5725.Contact Information
Primary practice address
8010 Grand River Rd Ste 100
Brighton MI 48114-9303
Phone: (810) 207-5725
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801088507 | Michigan |
Profile Details
| NPI number | 1710012836 |
|---|---|
| LBN Legal business name | Broome, Rebecca |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | May 14th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710012836 | NPPES |
| Michigan | MEDICAID | 730195 |
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